DOUGLAS ANTHONY VILLALTA

PHILADELPHIA, PA
NPI1811635360
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: PA  MT225293)
Enumeration Date2022-05-24
Last Update Date2022-05-24
Business Address
DOUGLAS ANTHONY VILLALTA
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4319
Phone number: 215-590-1220
Mailing Address
DOUGLAS ANTHONY VILLALTA
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4319
Phone number: 215-590-1220
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